Central Alabama Audiology, LLC
Organization Active NPI Audiologist · Selma, AL
NPI 1689084881 · NPPES record last updated Mar 12, 2024
Key facts
- NPI
- 1689084881
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- License
- 1127A (AL)
- Legal business name
- CENTRAL ALABAMA AUDIOLOGY, LLC
- Practice address
- 4 Office Park Cir
Selma, AL 36701-6538 - Phone
- (334) 872-9711
- Fax
- (334) 872-7574
- NPI assigned
- Apr 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Brady Bostick Rives, AU.D.
- Title
- Audiologits/Owner
- Phone
- (334) 872-9711
Practitioners 1
-
Brady Bostick Rives, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150129001382 | AL | Part B Supplier - Clinic/Group Practice | 4284958976 |
Receives reassigned benefits from 1 practitioner Practice locations: Selma, AL |
National Provider Directory
Locations
1100 Medical Center Pkwy
Selma, AL 36701
Phone (334) 872-9711
203 Dallas Ave
Selma, AL 36701
Phone (334) 872-9711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | 1127A | AL | Yes |
Addresses
Primary practice location
4 Office Park Cir
Selma, AL 36701-6538
Mailing address
203 Dallas Ave
Selma, AL 36701-5744
Phone (334) 872-9711
Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.